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. Author manuscript; available in PMC: 2011 Sep 1.
Published in final edited form as: Arthritis Care Res (Hoboken). 2010 Sep;62(9):1328–1334. doi: 10.1002/acr.20219

Table 3.

Summary of Response to B Cell Depletion Therapy and Outcome

Patient CK prior to therapy (IU/l) Highest prednisone dose (mg/day) Previous treatments Doses of B cell depletion therapy Lowest prednisone dose post therapy (mg/day) Lowest CK post therapy (IU/l) Outcome post B cell depletion and duration of remission
1 2710 60 AZA, MTX 1000 mg IV × 2 doses 20 622 Decline in CK and improvement in strength for 10 months
2 1000 160 MTX, AZA, IVIg, Plasma exchange 1000 mg IV × 4 doses 5 163 Normalization of CK and improvement in strength for 18 months
3 550 40 MTX, AZA, IVIg, MMF 1000 mg IV × 5 doses 15 126 Normalization of CK and improvement in strength for 19 months
4 1063 80 IVIg, Plasma exchange 1000 mg IV × 1 dose 50 22 No outcome data; died 1 month later from pneumonia and CHF
5 2900 80 MTX, IVIg 1000 mg IV × 4 doses 10 963 Decline in CK for 12 months, re- dosed for increased CK
6 2100 60 MTX, MMF, IVIg 1000 mg IV × 2 doses 30 1144 Improvement in strength and decline in CK for 9 months
7 1250 60 MTX, MMF 1000 mg IV × 1 dose N/A 1080 Decline in CK for 5 months
8 3110 60 AZA, MTX, IVIg, plasma exchange 1000 mg IV × 2 doses 15 2100 Modest decline in CK after 6 months with persistent proximal lower extremity weakness

Key: CK=creatinine kinase; MTX=methotrexate; AZA=azathioprine; IVIg=intravenous immunoglobulin; MMF=mycophenylate mofetil; N/A = information not available